HACKENSACK UNIVERSITY MEDICAL CENTER (NPI# 1568551257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568551257 |
| Entity Type | Organization |
| Organization Name | HACKENSACK UNIVERSITY MEDICAL CENTER |
| Other Organization Name | HACKENSACK UNIVERSITY MEDICAL CENTER PLAZA PHARMACY |
| Practice Address |
20 Prospect Ave Ste 102 Hackensack NJ 07601-1997 |
| Practice Telephone | 5519968744 |
| Practice Fax Number | 5519968757 |
| Mailing Telephone | 5519968744 |
| Mailing Fax Number | 5519968757 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2017-03-06 |
| Authorized Official Name | ELIZABETH LUPANO (CONSULTANT/DIRECTOR) |
| Authorized Official Telephone | 5519964092 |
| Authorized Official Credential | RP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
28RS00645600 | NJ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2055528 | 01 | |
| NJ | 0071960 | 05 |
| Other Name | Type Code |
|---|---|
| HACKENSACK UNIVERSITY MEDICAL CENTER PLAZA PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952749913 | Hackensack University Medical Center | Chronic Disease Hospital | 118 Charlton Ave # B, Hasbrouck Heights, NJ 07604-1508 | 2013-06-11 |
| 1114348976 | Hackensack University Medical Center | Urology | 360 Essex St, Suite 403, Hackensack, NJ 07601-8550 | 2013-12-21 |
| 1992096374 | Hackensack University Medical Center | Pharmacy | 92 2nd St, 1st Floor, Hackensack, NJ 07601-2105 | 2011-04-20 |
| 1386942100 | Hackensack University Medical Center | Ambulance | 30 Prospect Ave, Hackensack, NJ 07601-1914 | 2011-03-02 |
| 1467657452 | Hackensack University Medical Center | General Acute Care Hospital | 30 Prospect Ave, Hackensack, NJ 07601-1914 | 2007-06-19 |
| 1801952825 | Hackensack University Medical Center | Prosthetic/Orthotic Supplier | 20 Prospect Ave, Suite 505, Hackensack, NJ 07601-1997 | 2006-12-28 |
| 1184649345 | Hackensack University Medical Center | General Acute Care Hospital | 30 Prospect Ave, Hackensack, NJ 07601-1914 | 2006-07-12 |
| 1609862036 | Hackensack University Medical Center | General Acute Care Hospital | 30 Prospect Ave, Hackensack, NJ 07601-1914 | 2005-09-21 |
| Street Address |
20 PROSPECT AVE STE 102 |
| City | HACKENSACK |
| State | NJ |
| Zip Code | 07601-1997 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598769317 | William K Boss | Specialist | 20 Prospect Ave, Ste 600, Hackensack, NJ 07601-1962 | 2005-06-09 |
| 1457992679 | Carmen Cecilia Peralta | Nurse Practitioner | 20 Prospect Ave, Hackensack, NJ 07601-1997 | 2019-09-30 |
| 1255988432 | Leila Ledesma-apolinario | Registered Nurse | 20 Prospect Ave, Hackensack, NJ 07601-1997 | 2019-08-21 |
| 1871061440 | Debbie Yiu | Nurse Practitioner | 20 Prospect Ave, Hackensack, NJ 07601-1997 | 2018-11-12 |
| 1942708128 | Maria Dei Tos | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 20 Prospect Ave, Hackensack, NJ 07601-1997 | 2018-01-23 |
| 1689115230 | Lauren Elyse Dipasquale | Audiologist | 20 Prospect Ave, Suite 808, Hackensack, NJ 07601-1997 | 2017-03-15 |
| 1609316579 | Dayra Soto | Nurse Practitioner | 20 Prospect Ave, Suite 516, Hackensack, NJ 07601 | 2017-02-27 |
| 1538605456 | Shoshanah Ruth Haricha | Nurse Practitioner | 20 Prospect Ave, Suite 715, Hackensack, NJ 07601-1997 | 2017-01-17 |
| 1710431101 | Brandon Howard Md LLC | Internal Medicine | 20 Prospect Ave, Suite 905, Hackensack, NJ 07601-1997 | 2016-08-15 |
| 1518410349 | Veronica Rossi | Nurse Practitioner | 20 Prospect Ave, Suite 800, Hackensack, NJ 07601-1997 | 2016-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989414 | Alpha Healthcare Staffing Firm, LLC | Registered Nurse | 194 Passaic Street, Hackensack, NJ 07601 | 2020-10-15 |
| 1396350120 | Lower Limb Institute | Podiatrist | 211 Esses Street, Suite 405, Hackesack, NJ 07601 | 2020-09-09 |
| 1649825233 | Rachel Korenblit | Social Worker | 235 Main St Ste 203, Hackensack, NJ 07601 | 2019-08-09 |
| 1740846567 | Samantha Pirnat | Counselor | 426 Hudson Street, 2nd Floor, Hackensack, NJ 07601 | 2019-05-16 |
| 1881258499 | Tara Lynn Smith | Social Worker | 160 South River Street, Hackensack, NJ 07601 | 2019-04-29 |
| 1922569318 | Solomon Isakov | Dentist | 835 Prospect Ave, Suite 304, Hackensack, NJ 07601 | 2019-03-27 |
| 1114403409 | Mildred Lopez Vasquez | Home Health Aide | 12 Rowland Avenue, Hackensack, NJ 07601 | 2018-07-19 |
| 1538656582 | Zara Pharmacy LLC | Pharmacy | 57 Linden St, Hackensack, NJ 07601 | 2018-04-16 |
| 1447759048 | Maryann Hom | Social Worker | 307 Prospect Avenue, 14e, Hackensack, NJ 07601 | 2018-02-08 |
| 1699274258 | Kirsten Byrnes | Psychologist | Audrey Hepburn Children's House, Hackensack Umc, 12 Second St, Hackensack, NJ 07601 | 2018-02-08 |
| Find all providers in zip 07601 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538656582 | Zara Pharmacy LLC | Pharmacy | 57 Linden St, Hackensack, NJ 07601 | 2018-04-16 |
| 1053752659 | Pvp Pharmacy LLC | Pharmacy | 212 Essex St, Hackensack, NJ 07601-3214 | 2013-07-11 |
| 1306088455 | J&j State Street Pharmacy Inc | Pharmacy | 298 State St, Hackensack, NJ 07601-5515 | 2009-04-02 |
| 1225120702 | New Jersey Cvs Pharmacy LLC | Pharmacy | 101 Polifly Rd Polifly Plz, Hackensack, NJ 07601 | 2006-09-29 |
| 1548360589 | Pathmark Stores Inc | Pharmacy | 405 Rt 17, Hackensack, NJ 07601 | 2006-09-22 |
| 1003921883 | Lml Supermarkets Incorporated | Pharmacy | 500 S River St, Hackensack, NJ 07601-6651 | 2006-08-20 |
| 1720506009 | Isnr Pharmacy LLC | Pharmacy | 235 Main Street, Hackensack, NJ 07601 | 2017-09-06 |
| 1184023301 | Brandra Pharmaceuticals Inc | Pharmacy | 441 Passaic St, Hackensack, NJ 07601-1518 | 2014-08-14 |
| 1992096374 | Hackensack University Medical Center | Pharmacy | 92 2nd St, 1st Floor, Hackensack, NJ 07601-2105 | 2011-04-20 |
| 1568565380 | New Jersey Cvs Pharmacy LLC | Pharmacy | 110 Main St, Hackensack, NJ 07601-7102 | 2006-09-07 |
| Find all providers in HACKENSACK | ||||
| City | HACKENSACK |
| Zip Code | 07601 |
Please comment or provide details below to improve the information on HACKENSACK UNIVERSITY MEDICAL CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.